The most important result of this project is that there is a relationship between the zip code (65616) and increase asthma-related ER visits and inpatient hospitalizations versus the other zip codes in Taney County in Missouri State.
Asthma-related ER visits and inpatient hospitalizations in zip code (65616) for years (2010-2014) are higher among females (53.3% and 59.8٪) (Figure1&7), respectively than males (46.6% and 40.2٪) respectively (Figure1&7), which is consistent with the statistics that confirm asthma is more prevalent among females than males. The white asthmatic patients have higher percentages of ER visits for asthma by 87.3% compared with black or African American by 12.7% (Figure2) (CDC, 2013). This result differs from the national
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In this video is a paradigm for first visit that was made by (NHLBI).
PACE participant videos, part 1: Basic communication strategies https://www.youtube.com/watch?v=DJjN5ADkLvM • The second visit contains two sections, the first section aims to offer basic information, such as what happens in an asthma attack, how medicines work, when to call the doctor, and follow the written plan closely. In this video is a paradigm for second visit section 1 that was made by (NHLBI).
PACE participant videos, part 2, section 1: Patient visit: offering basic information https://www.youtube.com/watch?v=21GFTfF-yPo The second section aims to educate patients about the goals and criteria of successful treatment, such as the medicines are safe to use, the patient should be symptoms free, and the patient should have no wheezing or coughing, even during physical activity or colds. In this video is a paradigm for second visit section 2 that was made by
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In Biostatistics competency, I analyzed data by Chi square test, rates and frequencies and then I interrupted the results. In Epidemiology competency, I described a public health problem, which is asthma related ER visits, in terms of magnitude, person, place and time. I calculated basic epidemiologic measures, which is population-based rates for asthma related ER visits and inpatient hospitalizations. I evaluated the limitations and implications of the project. In environmental health competency, I identified how the environment affects on asthmatic, which is the air pollution and in in-door and out-door. In health behavior and public health administration competencies, I found out the program that evidence based best practice, which is PACE program in order to educate physicians and asthmatic patients about how to manage asthma attacks. Additionally, I suggested TCHD to have a partnership with emergency department in order to implement the best
Mom is very open to the asthma education. However she had specific requests regarding her availability. She visits the Hospital for Special Care (see attached) everyday where her son is currently staying. In addition, she needs to be available to care for her other three children after summer camp, and she wanted the education completed before her son returns home from the hospital. Lastly, we do not need an environmental conducted as Chris has already completed one.
I met the community outreach programmer Ms. Lisa and I discussed with her about an appropriate evidence-based practice. Ms. Lisa said that there is not education program in Taney County Health Department for asthmatic people. Thus, she asked me to find a successful evidence-based practice, which has been applied in the other Counties or States
There were different researches done to show what caused the Mexican War. Some say America and others say Mexico themselves. There has been some insight by Ramón Eduardo Ruiz, David J. Weber, Rodolfo Acuña, and Walter Nugent. From Ramón Eduardo Ruiz’s article, there are mentions of the Manifest Destiny. Manifest Destiny played a role in the New World and in Mexico. In “’From Hell Itself’ The Americanization of Mexico’s Frontier” by David J. Weber, talks about the issues within Mexico that caused them to lose so much of their territory. From Rodolfo Acuña in “Legacy of Hate: The Conquest of Mexico’s Northwest”, the article indicates… From the article “California and New Mexico, 1846-1848: Southward Aggression II” by Walter Nugent, … These
Although, towards the end (July/August) it became dismantled as a result of other projects Yale New Haven residency program adapted. However, open communication remains between the residents and Pediatric Chiefs and the program coordinator. The collaboration provided the pediatric residents and interns’ opportunity to acquire knowledge about Community Public Health Programs. With the primary goal of introducing the residents and interns to a broad range of public health programs they can refer their patients to. This system offered the residents, and interns an introduction to the connection of public health and medicine. With the end result demonstrating the importance of community agencies and medical providers need to partner to address the burden of asthma. The Region had 5 residents/interns come through this reporting period, The residents have reported that given this opportunity to see first-hand how the program works, whether within the home or through individual discussion, that it has helped in aiding to understand the challenges families face as they strive to manage the asthmatic’s symptoms. Furthermore, they describe a broader understanding of the various environmental obstacles families are confronted when managing their asthma. For
One strategy that has shown to improve medication compliance and outcomes for patient with asthma is the provision of Asthma Action Plans (AAP). The Asthma Action Plan or AAP is widely recognized as the best tool for asthma self-management and has been demonstrated to improve outcomes for asthmatics. The AAP is a detailed plan that describes medications and treatments, how to control asthma, and how to address worsening asthma. The plan also describes when to call the doctor or go to the emergency room. The plan breaks down the severity of symptoms and treatment by color helping those with limited language skills and low health literacy the ability to understand the asthma treatment plan. (Nepaul et al.,
Since asthma exacerbations in adolescence can lead to emergency room visits, hospitalizations, missed school and diminished health status, there was an evident need for effective asthma management for this population (Quaranta et al., 2014). Unfortunately, these rural adolescents with asthma, and their families, had difficulty determining when their asthma was poorly controlled; and unless the asthma symptoms were disruptive to family life, there was often little motivation for these individuals to seek medical care, thus increasing the risk of poor outcomes (Quaranta et al., 2014, p. 99). According
Also, they want to make a better quality, more accessible, affordable and equitable in United States (2015). In California, the NHQR focuses on current disparities in health care that recounted to racial issues and socioeconomic factors base on population (AHRQ, 2015). In California, the measure of Asian Pacific Islander in the close benchmark had about 21% of death per one thousand admissions with PTCA disease with an age of 40 years old and over. However, the measures that archived the benchmark or better those admissions for asthma per 100,000 populations with an age of 18 to 39 years old it’s about 86 %.
The American College of Healthcare Executives Competencies Assessment Tool is a tool that is used for evaluation of one’s personal development. It is given to healthcare executives to analyze themselves especially in their areas of expertise for healthcare management (ACHE, 2016).
A screening template can be developed that can assist the nurse in performing a thorough assessment of an asthmatic patient. This questionnaire should be at an appropriate education level and question should be simple and direct. The questions should focus on the presence or absence of symptoms, activity limitations, exacerbations, missed workdays, and frequency of use of prescribed medications.
Patients seek medical attention for preventative measures, as well as, diagnostic measures. Patients must have a trusting rapport with their collaborative medical team, as the nurses and the doctors are the people who they trust their lives with. Patients do not always present to hospitals, urgent cares, walk-in clinics, or even doctor’s offices only when they are sick; patients visit to ensure their good health will continue, treatment regimens are of benefit, changes that may be needed in regimen. When someone thinks of a patient they may think of some of these characteristics: illness, disease, hospital, medications, health, and prevention.
For school work, I usually try to limit myself to scholarly articles. But for this assignment I chose an article that stood out to me for its ability to relay important health information in an accessible way. For the last two weeks in my classes, we have been discussing topics that are fraught with misunderstanding, fear, and misinformation. I was struck by how many of my classmates were unfamiliar with the content. As an RN student, I have learned that patient education is mainly the responsibility of the nurse; and finding methods to teach important topics without overwhelming the patient is vital to promote health and safety. Chunking in patient education, relaying small but specific pieces of information, allows one to digest the key points that are needed without losing focus among all the intricate details. This article does just that.
The data are collected from observation of over 100 patients’ visits, 50 of which were observed and audio taped. The research questions that are asked by Davidson are:
Childhood asthma impacts scores of youngsters and their families. In fact, the bulk of kids develop respiratory illness before the age of
I was unsure at first about who I wanted to interview for this, my mother, step-mom and sister are all RN’s (registered nurses) and thought that would be a good start, but after engaging with them and posing a couple of questions, it was clear that I would not get the information that was needed. I ended up choosing Melissa, she is a hairstylist and has been doing this line of work for the past 10 years. The reason I chose her is because 4 ½ years ago she ventured away from the salon she was working for and started her own salon. She rents a room in a larger building and has been managing everything on her own ever since. She completed high school and then went to Paul Mitchell Hair School, this was completed in a year.
“ Congratulations! We are excited to inform you of your acceptance to the Georgia State community. (…)” . Receiving this letter, in May 2016, was one of the most beautiful things I ever dreamed of. It was a new journey that was about to start for me, an Ivorian student. I am the second college student, after my mother in my family. But being accepted at Georgia State University was another level.